Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.78 / $4,375.00 / $16,467.00	Facility		$538.78	$4,375.00	$16,467.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.09 / $404.09 / $919.59	Facility	54	$404.09	$404.09	$919.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $482.70 / $605.41	Professional		$434.84	$482.70	$605.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $1,329.80 / $2,488.86	Facility		$692.62	$1,329.80	$2,488.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.09 / $548.92 / $929.87	Professional		$441.09	$548.92	$929.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $539.75 / $1,370.63	Facility		$375.00	$539.75	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.93 / $594.59 / $1,041.19	Professional		$457.93	$594.59	$1,041.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.70 / $623.00 / $1,013.87	Facility		$482.70	$623.00	$1,013.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $347.56 / $659.55	Professional		$75.30	$347.56	$659.55
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.87 / $489.79 / $1,074.14	Professional		$378.87	$489.79	$1,074.14